Intubação endotraqueal usando o laringoscópio óptico Airtraq quando a glote está fora do centro do visor: as opções de otimização estão esgotadas?

Gómez-Ríos, Manuel Ángel; Gómez-Ríos, D.

doi:10.1016/j.bjan.2014.09.007

Brazilian Journal of Anesthesiology

2015

DOI: 10.1016/j.bjan.2014.09.007

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Intubação endotraqueal usando o laringoscópio óptico Airtraq quando a glote está fora do centro do visor: as opções de otimização estão esgotadas?

Manuel Ángel Gómez-Ríos

D. Gómez-Ríos

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“…[4] Intubation with Airtraq ® in six patients with off-centre glottis with the assistance of LMA™ endotracheal tube in non-emergency settings is reported. [5] A success rate of 68% (19/28) with Airtraq ® in pre-hospital intubations performed by anaesthetists and nurse anaesthetists is reported in a retrospective study. [2] Hirabayashi et al .…”

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Successful Airtraq^® use for emergency off-centre glottic intubation in a patient with post-dialysis neck haematoma

et al. 2016

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confidence: 99%

Successful Airtraq^® use for emergency off-centre glottic intubation in a patient with post-dialysis neck haematoma

et al. 2016

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The pressure exerted on the tongue during intubation with simultaneous cervical spine immobilisation: a comparison between four videolaryngoscopes and the Macintosh laryngoscope—a manikin study

Aleksandrowicz

Gaszyński

2017

J Clin Monit Comput

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Excessive pressures exerted on the tongue during intubation may be associated with serious complications and may make intubation more difficult. The aim of this study was to evaluate five different intubating devices in the hands of experienced anaesthetists during simulated conditions of reduced cervical spine mobility. Forty senior anaesthetists participated in the study (female = 18, male = 22). The mean pressure exerted on the tongue during intubation was recorded with a standard manometer. The overall intubation success rate as well as the difference in exerted pressures between female and male anaesthetists were also assessed. The five studied devices were used by each participant and they were randomly chosen. Each anaesthetists participating in the study had over 15 years of clinical anaesthetic practice. The mean pressure exerted on the tongue during intubation was significantly lower when the videolaryngoscopes (VLs) were used (p < 0.0001 for each of the studied VL). There were failed intubation attempts with all of the studied devices, the highest failure rate was in the Airtraq® group, 10 in 40 (25%). Female anaesthetists exerted lower pressures during intubation with all studied devices (except the Airtraq®). However, the difference was only significant for the Macintosh laryngoscope (p = 0.0083). The blades of VLs exerted lower pressures on the tongue during intubation than the Macintosh laryngoscope blade. Their use may be associated with less complications. Furthermore, male anaesthetists exerted higher pressures on the soft tissues although this was neither statistically nor clinically significant. There was higher failed intubation rate in the male anaesthetist group.

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Intubação endotraqueal usando o laringoscópio óptico Airtraq quando a glote está fora do centro do visor: as opções de otimização estão esgotadas?

Cited by 2 publications

References 4 publications

Successful Airtraq^® use for emergency off-centre glottic intubation in a patient with post-dialysis neck haematoma

Successful Airtraq^® use for emergency off-centre glottic intubation in a patient with post-dialysis neck haematoma

The pressure exerted on the tongue during intubation with simultaneous cervical spine immobilisation: a comparison between four videolaryngoscopes and the Macintosh laryngoscope—a manikin study

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Intubação endotraqueal usando o laringoscópio óptico Airtraq quando a glote está fora do centro do visor: as opções de otimização estão esgotadas?

Cited by 2 publications

References 4 publications

Successful Airtraq® use for emergency off-centre glottic intubation in a patient with post-dialysis neck haematoma

Successful Airtraq® use for emergency off-centre glottic intubation in a patient with post-dialysis neck haematoma

The pressure exerted on the tongue during intubation with simultaneous cervical spine immobilisation: a comparison between four videolaryngoscopes and the Macintosh laryngoscope—a manikin study

Contact Info

Product

Resources

About

Successful Airtraq^® use for emergency off-centre glottic intubation in a patient with post-dialysis neck haematoma

Successful Airtraq^® use for emergency off-centre glottic intubation in a patient with post-dialysis neck haematoma